Precision Surgery Center, LLC.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PRECISION SURGERY CENTER, LLC.

Practice address

1802 Moores LN
Texarkana, TX 75503-4609

Phone

(714) 206-2154

NPI assigned

Jul 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Gordon, MD

Title

President

Phone

(903) 306-0711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Precision Surgery Center LLCCCN 45C0001694

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Duane Lee Griffith, M.D.

  • Interventional Pain Medicine Physician
  • Longview, TX
  • NPI 1023236478
  NPD
• Constance S Bentley, APRN

  • Nurse Practitioner
  • Tyler, TX
  • NPI 1447243571
  NPD (past)
• Jonathan Blau, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tyler, TX
  • NPI 1942260567
  NPD (past)
• Daniel Hunter Brown, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Texarkana, TX
  • NPI 1679186662
  NPD (past)
• Aaron Calodney, M.D.

  • Pain Medicine Physician
  • Tyler, TX
  • NPI 1396707121
  NPD (past)
• William J Dreiss, MD

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1932493624
  NPD (past)
• Austin Harper, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Longview, TX
  • NPI 1336559418
  NPD (past)
• Leslie Howland, FNP-C

  • Family Nurse Practitioner
  • Texarkana, TX
  • NPI 1750825253
  NPD (past)
• Timothy Chris Lambert, D.C., FNP-C

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1073561494
  NPD (past)
• Nikki Scott, NP

  • Adult Health Nurse Practitioner
  • Texarkana, TX
  • NPI 1619676418
  NPD (past)
• Spencer Shastid, DO

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1093336695
  NPD (past)
• Melinda Dyer Smith, FNP-C

  • Family Nurse Practitioner
  • Atlanta, TX
  • NPI 1356784649
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1669959151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034609",
            "telephone_number": "714-206-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034609",
            "telephone_number": "714-206-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SURGERY CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-306-0711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Poteet Jr., MD
• Troy D Potter, MD
• Janet Potts, LCSW
• Tonile Michelle Pounds, FNP
• Darin Samuel Powell, PTA, ATC, LAT
• Amy Young Price, RPH
• Sarah Khrystine Prine, DMD
• Professional Eye Care Associates PA
• Professional Hearing Services of Texas, LLC
• Professional Hearing Services PLLC

• All providers in Texarkana, TX
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.